Sanilac Services Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301004765 Issued in MI

Legal business name

SANILAC SERVICES INC

Doing business as

Sanilac Pharmacy

Practice address

78 S Elk Street
Sandusky, MI 48471-1354

Phone

(810) 648-2265

Fax

(810) 648-5968

NPI assigned

Oct 24, 2006

Last updated

Nov 2, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

MCKENZIE MEMORIAL HOSPITALAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Amy Ruedisueli

Title

Cfo

Phone

(810) 648-2265

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sanilac Pharmacy Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gina M. Patterson, RPH

  • Pharmacist
  • Sandusky, MI
  • NPI 1083779417
  NPD (past)
• Gerald A. Smith, RPH

  • Pharmacist
  • Sandusky, MI
  • NPI 1629133038
  NPD (past)
• Jordin Taylor Verbeke, PHARMD

  • Pharmacist
  • Sandusky, MI
  • NPI 1710615513
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1518041078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 S ELK STREET",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711354",
            "telephone_number": "810-648-2265",
            "fax_number": "810-648-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 S ELK STREET",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711354",
            "telephone_number": "810-648-2265",
            "fax_number": "810-648-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANILAC SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCKENZIE MEMORIAL HOSPITAL",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "RUEDISUELI",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "810-648-2265",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301004765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1875780",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanilac Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sanilac County Community Mental Health Authority
• Sanilac County Community Mental Health Authority
• Sanilac County Community Mental Health Authority
• Sanilac Family Dentistry
• Sanilac Intermediate School District
• Tiffany Sassanella
• Jennifer Sayles
• Brian Felix Schad
• Desaray Marie Scheinost
• Tracy Scott, O.D.

• Community/Retail Pharmacy in Sandusky, MI
• Providers in Sandusky, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.